Surgical report demonstrates transanal marsupialization using an endoscopic stapler drains presacral collections, highlighting a minimally invasive solution for chronic pelvic sepsis.
Patients with anastomoses at the anorectal ring, with or without anastomotic dehiscence, may develop large presacral collections. Such collections often drain poorly through the anastomosis, leading to chronic sepsis. A novel method of widely draining such collections by "marsupialization" into the bowel lumen with use of an endoscopic stapler inserted transanally is described.
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Stewart et al. (1999) studied this question.
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